HomeMy Public PortalAbout5218 ARDEN DR_BUILDING_3/13/2019_B19-37614 (2)TEMPLE CITY PERMIT NO. B19-37614
Combo Rooftop Solar Details
Symmoty 1 Area 360 Stories 1
Fees Total
Valuation $15,000.00 Plan Check Fees $268.56 PermitFees 4205.66
Sir"Motlon Fee 40.00 S81473Fee 41.00 Parks Dev Fee 40.00 Sewer Const Fee 40.00
Building Inspections
Approval Date Inspector
Location/Setbacks
Soils Engineer
Foundation Forms
Slab/Under Floor
Raised Floor
Framing
Underfloor
Insulation
1st Floor
Sheathing
2nd Floor
Sheathing
Approval Date
Roof Sheathing
Fire Dept Framing
Bldg Dept Framing
Shear Panels _
Sprinkler Hangars
Insulation/Weather
Strip
Interior
Lath/Drywall
Exterior Lath
Inspector Approval
City of Temple City 19701 Las Tunas Drive I Temple City, California 91780 i (626)285-2171 i www.templecity.us
Address:
5218 Arden Drive, Temple City, California 91780
Parcel: 8585-019-006
Permit No:
819-37614
Type: Building Subtype: CBCombo
Rated Shafts
Building
Description:
INSTALL 18 PV ROOF MOUNTED SOLAR SYSTEM
Special
Lot Drainage
6.48 KW
Conditions:
Issue Date:
03-13-2019
Expire Date: 03-12-2020 Extension: Extension:
Fire Dept
Permit expires on date shown if: l) work does not commence,
or 2) work is suspended or abandoned, or 3) applicant fails to obtain code
required inspection.
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Contacts
Owner
John Nguyen
5218 Arden Drive, Temple City, California 91780 (626) 208-7321
Hua
Applicant
Mai Ly
1990 Rosemead Boulevard Suite 101, South EI (626) 443-8166
Monte, California 91733
Contractor
Solar Solutions 4 U Inc. DBA H L V
1990 Rosemead Boulevard Suite 101, South El (909) 762-3668 910748
Electric Co.
Monte, California 91733
Combo Rooftop Solar Details
Symmoty 1 Area 360 Stories 1
Fees Total
Valuation $15,000.00 Plan Check Fees $268.56 PermitFees 4205.66
Sir"Motlon Fee 40.00 S81473Fee 41.00 Parks Dev Fee 40.00 Sewer Const Fee 40.00
Building Inspections
Approval Date Inspector
Location/Setbacks
Soils Engineer
Foundation Forms
Slab/Under Floor
Raised Floor
Framing
Underfloor
Insulation
1st Floor
Sheathing
2nd Floor
Sheathing
Approval Date
Roof Sheathing
Fire Dept Framing
Bldg Dept Framing
Shear Panels _
Sprinkler Hangars
Insulation/Weather
Strip
Interior
Lath/Drywall
Exterior Lath
Inspector Approval
Date Inspector
Rated
Floor/Ceiling
Rated Walls
Rated Shafts
T -Bar
Ceilings
Lot Drainage
Smoke
Detectors
Fire Dept
Approval
FINAL
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from
the Contractors' State License law for the reason(s) Indicated
below by the checkmark(s) I have placed next to the applicable
item(s) (Section 7031.5, Business and Professions Code): Any
city or county that requires a permit to construct, alter, improve,
demolish, or repair any structure, prior to its Issuance, also
requires the applicant for the permit to file a signed statement
that he or she Is licensed pursuant to the provisions of the
Contractors' State License Law (Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professions
Code) or that he or she is exempt from licensure and the basis
for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars ($500).):
U I, as owner of the property, or my employees with wages as
their sole compensation, will do (-/)all of or U portions of the
work, and the structure is not Intended or offered for sale
(Section 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of
property who, through employees' or personal effort, builds or
improves the property, provided that the improvements are not
intended or offered for sale. If, however, the building or
improvement Is sold within one year of completion, the Owner -
Builder will have the burden of proving that it was not built or
Improved for the purpose of sale.).
U I, as owner of the property, am exclusively contracting with
licensed Contractors to construct the project (Section 7044,
Business and Professions Code: The Contractors' State License
Law does not apply to an owner of property who builds or
improves thereon, and who contracts for the projects with a
licensed Contrhctor pursuant to the Contractors' State License
Law).
U: I am exemdt from licensure under the Contractors' State
License Law for the following reason:
By my signature below I acknowledge that except for my
personal residence in whic.� I must have resided for at least
one year prior to completiol of the Improvements covered by
this permit, I c4nnot legally sell a structure that I have built as an
owner -builder If it has not been constructed in its entirety by
licensed contractors. I understand that a copy of the applicable
law, Section 7044 of the Business and Professions Code, is
available upon request when this application Is submitted or at
the following Web site: htto://www.leeinfo.ca.eov/calaw.html.
Date:
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION JOB ADDRESS
I hereby affirm under penalty of perjury that I am licensed under LOCALITY
provisions of Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, and my
,,/I ense Class rise is in full force and effect. HAZARDOUS MATERIAL DECLARATION
nLicO Will the applicant or future building occupant handle a hazardous
� License No. material or a mixture containing a hazardous material equal to or
�Date� on rector Signature r than the amount specified on the hazardous materials
9 Information guide.
WORKERS' COMPENSATION DECLARATI Yes [I No [3WARNING: FAILURE TO SECURE WORKERS' COM TION Will the intended use of the building by the applicant or future
COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN building *occupant require a permit for construction or
EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO modification from the South Coast Air Quality Management
ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION District (SCAQMD)? See permitting checklistfor guidelines.
TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED
FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND Yes ❑ No ❑
ATTORNEY'S. FEES.
t I 'formation ulde and the
I hereby affirm under penalty of perjury one of the following
declarations:
I have and will maintain a certificate of consent to self -
insure for workers' compensation, issued by the Director of
Industrial Relations as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
Policy No.
I have and will maintain workers' compensation
Insurance, as required by Section 3700 of..the Labor Code, for
the performance of the rk for which this permit is issued. My
wori•e ' c mp ns titin In coo ri raprj olicy numb
ariel s. ]icy umb25 0 xpi�n [La Z
Name of Agent Phone Number
I certify that, in the performance of the work for which this
permit is issued, I shall not employ any person In any manner
so as to become subject to the workers' compensation laws of
California, and agree that, If I should become subject to the
workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions
�-3/0091
ignature of Applice - Date
LOBBYIST ORDINANCE CERTIFICATION
Complete this section for permits in
Unincorporated Los Angeles County only
This is to certify that I, as permit applicant, am familiar with the
requirements of Los Angeles County Code Chapter 2.160 at seq.,
(relating to the Los Angeles County Lobbyist Ordinance) and that
all persons acting on behalf of myself complied and will continue
to comply therewith through the application process.
Applicant (Print Name) Applicant Signature
Company Name Date
I have read the hazardous mamas in g
SCAQMD. permitting checklist, I understand my requirem nts
under the Los Angeles County Code Title 2, Chapter 8120
Sections 220.100 through 220.140 conceming hazardous
material reporting and for obtaining a permit from the SCAQMD.
ASBESTOS NOTIFICATION
❑ Notiflcation letter sent to AQMD and/or EPA
❑ I declare that notification of asbestos removal Is not
applicable to addressed project.
DECLARATION REGARDING CONSTRUCTION LENDING
AGENCY
I hereby affirm under penalty of perjury that there is a
Construction lending agency for the performance of the work for
which this permit is Issued (Section 3097, Civil Code).
Lenders Name
Lenders Address
By my signature below, I cerfify.to each of the following:
I am the property owner or authorized to act on the
property owner's behalf.
I have read this application and the Information I have
provided is correct..
I agree to comply with all applicable city and count)
ordinances and state laws relating to bufldinf
construction.
I authorize representatives of this county to enter tht
above -identified property for inspection purposes.
Signature of Pro Aut Agent
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